ENTEGRATIVE OTOLARYNGOLOGY PC – NPI #1417294174
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Health Care Provider Taxonomy Code for Otolaryngology

ENTEGRATIVE OTOLARYNGOLOGY PC is an otolaryngologist located in SANTA ROSA, CA. NPPES has assigned the NPI number 1417294174 to ENTEGRATIVE OTOLARYNGOLOGY PC on January 14, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ENTEGRATIVE OTOLARYNGOLOGY PC below.

NPI Profile for
ENTEGRATIVE OTOLARYNGOLOGY PC

NPI Number
1417294174
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ENTEGRATIVE OTOLARYNGOLOGY PC
Primary location
1144 SONOMA AVE STE 101
SANTA ROSA, CA 95405-4812
Phone: (707) 775-0775 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LARRY GAMBRELL
DIRECTOR/CEO
Phone: (267) 456-4848
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)		 CA C3527438

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.